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• Key Challenges – Inappropriate care due to:
– Paper form and reliance on human processing
• Scan to wrong document type – POLST lost in record
• Scan to wrong chart – POLST lost in another record
• Delay in scanning of form in record – POLST not available
• Form does not contain all elements to be legally valid – POLST not legal
• Form contains conflicting wishes – Cannot interpret POLST
• Form legibility and/or scan quality poor – Cannot read POLST
• Multiple forms with no known signature date – Most current POLST unclear
– 87% paper forms not available in an emergency
[1]
Not viewable by clinicians outside the Sutter network, and in
some cases inside our network
At Sutter, We Could Do Better…
[1] The Journal of Emergency Medicine, Vol. 44, No. 4, pp. 796–805, 2013